AMA Clinical Examples in Radiology - 2026 Issue 2 (Spring)
Fetal Umbilical Artery Doppler With Follow-Up Obstetric Ultrasound
Spring 2026 pages 7-11 CLINICAL EXAMPLE 2 Fetal Umbilical Artery Doppler With Follow-Up Obstetric Ultrasound CLINICAL INDICATION A 28-year-old female, currently 29 weeks pregnant, with a history of severe anemia in pregnancy. PROCEDURE Fetal umbilical artery (UA) Doppler and follow-up obstetric (OB) ultrasound TECHNIQUE Transabdominal obstetric ultrasound was performed with acquisition of grayscale and spectral Doppler images. Comparison was made to the examination performed one week earlier. FINDINGS Today's estimated date of delivery (EDD): 3/7/2025 EDD by average ultrasound age (AUA): 3/22/2025 Fetal Biometry: Biparietal diameter (BPD): 8.2 cm = 33 weeks and 0 days Head circumference (HC):...
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Article Overview
This article reviews how a fetal umbilical artery Doppler study and a follow-up obstetric ultrasound are documented and coded in a pregnancy case involving fetal growth concerns and maternal anemia. It is useful for obstetric coders, radiology coders, and revenue cycle staff who need to understand the general coding framework, referenced guidance sources, and the associated diagnosis coding context without relying on the premium article itself.
Why This Topic Matters
Ultrasound services in pregnancy often involve more than one component, and accurate reporting depends on understanding the relationship between the Doppler study, the follow-up ultrasound, and the related diagnosis codes. This article helps readers recognize the scope of the coding discussion and the guideline sources that inform it.
Article Sections
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Clinical Example 2
A pregnancy case is presented with ultrasound and Doppler findings, followed by coding guidance tied to the documented services and diagnoses.
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How to Code
This section identifies the code categories associated with the Doppler study, the follow-up obstetric ultrasound, and related pregnancy diagnoses.
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Discussion
The discussion reviews coding guidance from CPT and ACR sources and explains the broader clinical and documentation context for the services described.
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Sources
Reference publications and organizational sources supporting the coding discussion are listed here.
What You Will Learn
- The general purpose of fetal umbilical artery Doppler assessment in obstetric imaging
- How follow-up obstetric ultrasound is distinguished from other pregnancy ultrasound services
- Which types of official coding references are cited in support of the article
- How the article connects ultrasound documentation with pregnancy-related diagnosis coding
- What clinical documentation elements are discussed in relation to the coding example
Who Should Read This
- Obstetric coders
- Radiology coders
- CPC and other medical coding professionals
- Revenue cycle staff
- Clinical documentation and compliance reviewers
Codes Discussed
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